Chiang Lap-Kin
Department of Family Medicine and General Outpatient, Kwong Wah Hospital, Mongkok, Hong Kong SAR, China.
J Family Med Prim Care. 2018 Sep-Oct;7(5):1086-1089. doi: 10.4103/jfmpc.jfmpc_142_18.
This clinical case report illustrated a typical patient presented with snoring in the primary care. He was screened positive for obstructive sleep apnea (OSA) by overnight pulse oximetry and then referred to respiratory specialist care. With early confirmation and treatment of OSA, symptoms and comorbidity associated with OSA can be improved and risk for cardiovascular complication can be prevented. Among 264 cohort patients presented primarily with snoring in one primary care clinic of Hong Kong, 175 patients (66.2%) were screened to have OSA. About 56.0% (98/175), 26.2% (46/175), and 17.8% (31/175) were classified as mild, moderate, and severe OSA, respectively. In view of high prevalence of OSA among snorers, and OSA-related exacerbation in comorbid conditions and increased risk of cardiovascular complication, there is a need to stimulate OSA screening among snoring patients in primary care.
本临床病例报告展示了一名在基层医疗中出现打鼾症状的典型患者。通过夜间脉搏血氧饱和度监测，他被筛查出阻塞性睡眠呼吸暂停（OSA）呈阳性，随后被转诊至呼吸专科进行治疗。通过对OSA的早期确诊和治疗，与OSA相关的症状和合并症可以得到改善，心血管并发症的风险也可以得到预防。在香港一家基层医疗诊所中，以打鼾为主诉的264名队列患者中，有175名患者（66.2%）被筛查出患有OSA。其中，约56.0%（98/175）、26.2%（46/175）和17.8%（31/175）分别被归类为轻度、中度和重度OSA。鉴于打鼾者中OSA的高患病率，以及OSA相关的合并症加重和心血管并发症风险增加，有必要在基层医疗中推动对打鼾患者进行OSA筛查。
